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750266.pdfi 1 i,. BUILDING DEPARTMENT Applicant F.H. znM ZolaQ �j -. ('� NUMBER 75026- PER IT APPLICATION Inside licavy Lines .O ,\ ADDRE88 S �© NAD (0)t NAME OF HLH1NE88�) � U / PER COVE.— ACTUAL IAT COVERAGE �G O/b LOT COVESYAOE 'r C,/( H M IL ADDREB t� ( ` I'I r PERMISSIBLE HEIOII PItOPOBED RETORT � CIT / % TELEPHONE -NUMBER` %C�•V^L DTDREr�' •AyVDrbb TO�. TA[, �(.I)O. ARE ,'!: I o REQUIRED -YARDS ' 1 Il( IPPR✓//OPbOC)8ED 'ARDS FRONT SIDE �IREAR F R ONT SIDE nREAR ( /�'� �/ 1/ ft e•� ISL/ r �V / O�� d�J / o I d��•/ • 103RE BH / E L LOT VARIANCE OR CONDITIONAL UBE r� , / `- ` 11 F.B NO PERMIT NUMBERi N ING D -PAL T. A E: IK CIT—Y /(�, j TELEPHONE NUMBER r e ✓T' � /r/ � j .� �'�-� STREET R V EXISTING REET R/ Y`.n'1•. DEFICIENCY THIS PROPERTY ,•!: NAME yI COMP. PIAN BT. R/(P('.! . ..FT. .....40 FT. w O ADDRESS REMARKS Driveway slopes not to exceed those 6 J (/7 indicated on Standard Dwg. No. 103. w BY F C1T} TELEPHONE NUMBER u O MrTER SIZE SIZE CLEARANCE C C HY STATE LICENSE NUMBER CITY L10EN8E NUMBER Legal Deaerlpllon of Properly JIM— Below or Attach Four Copies) TYPE CONNECTION VEIRIF •'AD BY 5r I PERC L7 r REMARKS tv � W I t7 FIRE ZONE TYPE OF CONDUCTION BTREE IMPROVED 'I , E9 EJ NO PE 1CIAL INSPECTOR REQUIRED I OCCUPANCY GROUP RESIDENTIAL ❑ GAS ❑ YES �1 NE{v LINEP CHECI(�D THIS SITE IS LOCATED IN THE CITY i Jct ❑ NON-RESIDENTIAL OF EDMONDS. LOCAL SALES TAX ON ADD �/SHOULD BE CODED 31.04. El RETAINING kEMARIi$/ 1 - DEMOLISH WALL . / ALTER E]EXCAVATEFENCE !l`-C)/c,/✓V ��/L�(V I J ./) ,4s yV77 I REPAIR [:]INSP. POOL z .......... pY,J - l/J �Ii C)♦ a� -,,--J OR PILL C. PRE-DIOVE SWIM NUMBER or, STORIES I NUMBER OF � DWELLING UNITS i NATURE OF WORK TO HE Valuation Fee Receipt No. I j - �y • Plan Check No ..................... Io BUILDING Y PROPOSED USE PLUMBING PLOT PLAN (Indicate Building setbacks, abutting streets) C1 L1 A � HEAT A GAS LINE / j / ////, �• FENCE / SIGN RETAINING WALL IN SWIMMING POOL — DEMOLITION I PRE -MOVE INSPECTION EXCAVATION OR FILL �_ TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the In - formation given Is correct; and that I ara the owner, or the duly author- Ized agent of the owner. I agree to comply with city and nista Irag.- lating construction; and In doing the work authorized thereby, no person ATTENTION APPLICATION APPROVAL will be employed In violation of the Labor Code of the Slate of Washington THIS PERMIT This application is not a permit until relating to Workmen's Compensation Insurance. AUTHORIZES THE signed by the Building Official Or his De NOTE: NOTE: Permit Limit One Year watch WORT[ NOTED uty; and fees are paid, and receipt is ac - �•_�--------' , shall be completed ninety days; MOVED -IN BUILDINGS shall be dam- -IN Bl DING1.I hall knowledged in space provided. $. plcled I six monlhe.) "I" ' SIGN U E (OWNER R AGENT) DATE SIGNED INSPECTION D 'e IGN)kTU �I DEPARTMENT CITY OF ✓ • � NOTE: Applicant Subject to Plan Check Fee EDDIOND3 ATE 775-2525 Title Permitcm'en work to be don n prh'nte property ONLY. Any conal rucl ion an the 11 -hl le damnin (curbs, sidewalk., drlyowaye, �,.tr „,. ,•t.'.1 -111 r,"I I, .r l-,ra tr 11r a...l,-�, FILE